Got it all installed (took 30 minutes) and have been testing.
At 425/800 I get 49 idle (50% fan) and 68 load (100% fan), was 55 idle (50% fan) and 75 load (100% fan) before cooler
At 440/850 I get 51 idle (50% fan) and 72 load (100% fan), I could not hit this before due to heat
Also, this card had a throttling issue. At 65 it throttles to "Low Power 3D Mode". This was easily solved by flashing a BIOS with only 1 performace level allowed (440/850). 110 FPS in CS:S stress test and between 80 and 200 in game. I know that's not a big drop in temps, but I got the overclock I was looking for and it's stable. Also, the stock paste (was silver, any ideas what it is?) on the cooler has not even closely cured yet, so we'll see. I may use AS Ceramique if I run into issues, but have not seen any as of yet.
I am told that because my card has Samsung memory, I am able to hit that 850 overclock. Also, the thermal pads for the memory on the NV5 are high quality 3M pads. They seem to transfer heat well.
That about wraps it up.